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Individual

RAYMOND THOMAS BURCHFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 347-3258
Mailing address
6733 HASKINS ST, SHAWNEE, KS 66216-2422
(913) 962-1798

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LCP317
KS
103TC0700X
Clinical Psychologist
Primary
PSY1093
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCP317
LCP LICENSE
KS
01
PSY1093
PSYCHOLOGIST LICENSE
MO
Enumeration date
10/02/2006
Last updated
07/09/2007
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